About the Facility
- CMS Certification Number (CCN)
- 453048
- Ownership Type
- For Profit
- CMS Region
- Dallas
- Certification Date
- Address
3340 Plaza 10 Drive
- Phone Number
- (409) 835-0835
Facility Medical Condition Statistics
- All other conditions
- 159
- Brain disease or condition (non-traumatic)
- 29
- Brain injury (traumatic)
- Data not available for this reporting period.
- Hip or femur fracture
- 37
- Hip or knee replacement, amputation or other bone or joint condition
- 81
- Nervous system disorder (excluding stroke)
- 123
- Spinal cord disease or condition (non-traumatic)
- 22
- Spinal cord injury (traumatic)
- Data not available for this reporting period.
- Stroke
- 87
Facility Quality of Patient Care Measures
- Catheter-associated urinary tract infections (CAUTI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- Not Available
- SIR 95% confidence interval - upper limit
- Not Available
- Comparative performance category
- Not Available
- Catheter days
- 808
- Predicted number of infections (B)
- 0.872
- Number of infections reported (A)
- 0
- SIR (A/B)
- Not Available
- Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
- Numerator
- 505
- Denominator
- 506
- Facility rate
- 99.8
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 9.0
- Denominator
- 416
- Average observed change score
- 9.8
- Change in patients ability to move around
- Average risk-adjusted change score
- 22.3
- Denominator
- 416
- Average observed change score
- 22.1
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 120
- Denominator
- 416
- Facility rate
- 28.8
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 119
- Denominator
- 416
- Facility rate
- 28.6
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 0
- Denominator
- 506
- Facility rate
- 0.0
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- Not Available
- SIR 95% confidence interval - upper limit
- 1.318
- Comparative performance category
- No Different than the National Benchmark
- Patient days
- 7,117
- Predicted number of infections (B)
- 2.272
- Number of infections reported (A)
- 0
- SIR (A/B)
- 0.000
- Percentage of healthcare personnel who got a flu shot for the current season
- Number of health care workers vaccinated
- 79
- Number of health care workers
- 273
- Rate of flu vaccination
- 28.9
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 50
- Number of eligible stays
- 457
- Unadjusted potentially preventable readmission rate
- 10.94
- Risk-standardized potentially preventable readmission rate (RSRR)
- 8.72
- Lower limit of the 95% confidence interval on the RSRR
- 7.26
- Upper limit of the 95% confidence interval on the RSRR
- 10.68
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 47
- Number of eligible stays
- 543
- Unadjusted potentially preventable readmission rate
- 8.66
- Risk-standardized potentially preventable readmission rate (RSRR)
- 6.58
- Lower limit of the 95% confidence interval on the RSRR
- 5.04
- Upper limit of the 95% confidence interval on the RSRR
- 8.40
- Comparative performance category
- Worse than the National Rate
- Rate of successful return to home or community from an IRF
- Observed number of discharges to community (DTC)
- 231
- Number of eligible stays
- 391
- Observed discharge to community rate
- 59.08
- Risk-standardized discharge to community rate
- 63.42
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 58.55
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 68.06
- Comparative performance category
- No Different than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 1.07
- Number of eligible episodes
- 621
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 500
- Denominator
- 506
- Facility rate
- 98.8
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 8
- Denominator
- 506
- Facility observed rate
- 1.6
- Facility risk-adjusted rate
- 1.2
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 157
- Number of health care workers
- 211
- Rate of COVID-19 vaccination
- 74.4